Part B News Features
Question: One of our doctors assisted at surgery and found out later that, unlike the primary surgeon, he’s not credentialed with the payer under whose plan the patient is insured. Given that ... More
Question: A new patient came in and saw our physician assistant (PA) for some lacerations. She did not see a doctor. A week later the patient returned for follow up with an M.D. For purposes of billin... More
Nurse practitioners, orthopedic surgeons, general surgeons and family practice providers have all faced significant hurdles with their 99201 claims, with denial rates ranging from 10% to 22% in 2018... More
Question: One of our doctors assisted at surgery and found out later that, unlike the primary surgeon, he’s not credentialed with the payer under whose plan the patient is insured. Given that ... More
Question: A new patient came in and saw our physician assistant (PA) for some lacerations. She did not see a doctor. A week later the patient returned for follow up with an M.D. For purposes of billin... More
Nurse practitioners, orthopedic surgeons, general surgeons and family practice providers have all faced significant hurdles with their 99201 claims, with denial rates ranging from 10% to 22% in 2018... More
Tools
This major final rule aligns the E/M coding and payment with changes recommended by the CPT Editorial Panel and AMA RUC for office/outpatient E/M visits. The final rule also adds services to the telehealth list and updates payment policies, payment rates and other provisions for services furnished under the Medicare physician fee schedule on or after Jan. 1, 2020.
Modifier 22 indicates "increased procedural services." Incorporate the tips below and click the "Download file" link above to access a modifier 22 decision tree.
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